대사적으로 비정상 과체중군과 대사적으로 비정상 비만군에서의 건강습관과 영양소 섭취량 행태 연구
Health Behavior and NutrientIntake in Metabolically Abnormal Overweight and Metabolically Abnormal Obesity
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연구배경: 대사적으로 비정상인 과체중군과 비만군에서대사위험을 높이는 건강습관과 영양소 섭취량에 어떠한 요인들이 있는지 알아보고자 하였다. 방법: 국민건강영양조사 자료(2007-2010년)를 이용하여, 총 18,188명 대상으로 대사증후군 기준에 따라 대사적 정상 여부를 그룹화하였고, 과체중과 비만군에서 건강습관, 식이습관 및 영양소 섭취 등에 따라 비정상 대사위험이 그룹 간에 차이가 있는지 살펴보았다. 결과: 남자와 여자 모두, 과체중군과 비만군에서 연령이 증가할수록 대사 비정상의 비율이 높아지는 경향을 보였다(P for trend <0.001). 남자 비만군은 식사결식(OR 1.318, 95% CI 1.066-1.631) 아침결식(OR 1.354, 95% CI 1.076-1.705)이, 여자비만군에서는 아침결식(OR 1.578, 95% CI 1.168-2.133) 과 탄산음료 다빈도 섭취(OR 1.540, 95% CI 1.188-2.492)가비정상 대사위험 교차비가 높았다. 남자 과체중군에서 1일칼륨 섭취량(P=0.032)과 1일 비타민 C 섭취량(P=0.048)이, 여자 과체중군에서는 1일 수분 섭취량(P=0.046)과 1일 탄수화물 섭취량(P=0.038)이 비정상 대사위험과 관련이 있었다. 결론: 과체중군과 비만군에서 대사 비정상 여부에 따라건강습관과 영양소 섭취량의 차이가 있었다
Abstract
Background:The purpose of this study was to investigate the differences in health behaviors and dietary habits between the metabolically healthy group and the metabolically abnormal group in overweight and obese subjects based on the data of National Health and Nutrition Survey (NHANES). Methods:Using the NHANES data (2007-2010), a total of 18,188 subjects were grouped into the metabolically healthy group and the abnormal group using the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) definition. Then we compared their health behaviors, dietary behaviors and nutrient intakes after adjustment for variables in overweight and obese groups. Results:The proportion of metabolic abnormalities tended to increase with increasing age in both overweight and obesity groups.(Pfor trend <0.001) After adjusting various confounding variables, the odds ratio (95% confidence interval) of skipping any meal and breakfast for metabolically abnormality were 1.318 (1.066-1.631) and 1.354 (1.076-1.705) in male obese group and those of skipping breakfast and carbonated drink intake were 1.578 (1.168-2.133) and 1.540 (1.188-2.492) in female obese group. Daily potassium intake (P=0.032) and daily vitamin C intake (P=0.048) in the male overweight group and daily water intake (P=0.046) and daily carbohydrate intake (P=0.038) in the female overweight group were associated with metabolically abnormality. Conclusions:There were differences in health behaviors and nutrient intake according to metabolically abnormality in overweight and obese groups.
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